DR. HOLLIS M JULSON (M.D.) – Family Medicine Physician, NPI 1104811470

DR. HOLLIS M JULSON (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. DR.0049556 (CO). The NPI Number for DR. HOLLIS M JULSON (M.D.) is 1104811470

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. HOLLIS M JULSON (M.D.)
NPI
1104811470
Phone
(702) 877-8600
Address
PO BOX 15645
Enumeration Date
13 September 2005
Last Update Date
11 October 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
7195717000
Graduation Year
2000 (26 years ago)
PAC ID
3274700182
Group Practice PAC ID
8022927342
Professional Enrollment ID
I20120118000077
Address ID
CO801327306MO17230PKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

992 FAMILY PRACTICE in NV

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Provider Addresses for DR. HOLLIS M JULSON (M.D.)

  • PO BOX 15645

    LAS VEGAS, NV 891145645

    Phone: (702) 877-8600

    Fax: (702) 258-6152

    Type: Mailing

  • 888, South Rancho Drive, Rancho Charleston, Las Vegas, Clark County, Nevada, 89106, United States

    LAS VEGAS, NV 891063810

    Phone: (702) 877-8600

    Fax: (702) 258-6152

    Type: Location

  • 17230 Jackson Creek Pkwy Ste 300

    Monument, CO 801327306

    Phone: (719) 571-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120118000077IFamily PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes193142$0
99215Established patient office or other outpatient visit, 40-54 minutes4940$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4040$0
99213Established patient office or other outpatient visit, 20-29 minutes3733$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1717$0
View full utilization report →

Insurance plans in this area (ZIP 89114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022927342View full group profile
NameSpecialtyState
Physician AssistantCO
Radiation OncologyTX
-CO
Hospitalist, General Practice, Family PracticeCO
Cardiovascular Disease (Cardiology)NM
Family PracticeOK
Internal MedicineCO
-IL
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicinePA

Reviews

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Frequently asked questions

What number should I use to identify DR. HOLLIS M JULSON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1104811470 for DR. HOLLIS M JULSON (M.D.).
Should I treat DR. HOLLIS M JULSON (M.D.) as an active provider?
Patients and plans typically see DR. HOLLIS M JULSON (M.D.) as active in the national extract.
Which specialty label fits DR. HOLLIS M JULSON (M.D.)?
NPPES ties DR. HOLLIS M JULSON (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. HOLLIS M JULSON (M.D.)?
The directory associates DR. HOLLIS M JULSON (M.D.) with Las Vegas, Nevada. Check all listed addresses for suites or satellite offices.
Can I export DR. HOLLIS M JULSON (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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